Riley Center Afternoon Summer Camp

Riley Center Afternoon Summer Camp
Thank you for your interest in Riley Center Summer Camp 2026.

We are thrilled to welcome families back for another summer of fun, friendship, and meaningful experiences.

At Riley Center, we believe every person deserves opportunities to grow, connect, and create lasting memories in a supportive environment designed with their needs in mind.

Camp Details
Dates: Monday, June 15 through Friday, July 24
Time: 1:30 PM to 5:00 PM
Location: 2500 Cabot Drive
Ages: 13 & Older
Cost: Group Support: $65/day
1:1 Support: $85/day

Specialized Support Options
We are proud to offer support levels designed to help each camper be successful and safe while enjoying camp.

Group Support (2:1)
3-4 campers supported by one staff member.

1:1 Support
One dedicated staff member assigned to one camper based on individual needs.

Support placement is determined based on each camper’s ability to safely participate within a group setting with mininmal redirection.

What to Expect
Each week features engaging themed programming creating opportunities for recreation, learning, social connection, and confidence building.

Our mission remains the same:

FUN • BELONGING • CONNECTION

Registration Information
Please complete the form below to indicate the days you would like to register your camper for.

Registration Deadline: Friday, May 29

Once your registration is submitted, you will receive a confirmation email. Campers are enrolled based on availability and we have 16 available spots.

If there is no avialabilty when you register you will be notified and be put on a waitlist

Payment Information
Payment in full must be received by Friday, June 5 in order to finalize registration and secure your camper’s spot.

Due to the unique staffing needs of our program, refunds cannot be provided for missed days.

Camp will not be held on:

Friday, June 19
Friday, July 3

Questions?
Programming Questions
info@riley-center.org

Billing Questions
Becky Joy Kristula, Staff Accountant
bjkristula@mygiantsteps.org
Camper Information
Camper's Full Name*

First NameLast Name
Camper's Age*
List any allergies or dietary restrictions*
Does your Camper have Asthma?*

YesNo
If marked yes to Asthma, does your Camper utilize an inhaler?*

Yes, my child utilizes an inhaler and can self-administer it independently.Yes, my child utilizes but requires assistance with administration.No, my child has asthma but doesn't have an inhaler.N/A
Does your Camper have seizures?*

YesNo
What are you Camper's toileting support needs?*

IndpendentMinimal Support (Supervision for Saftey)Maximum Support (wiping, changing pull up/diaper)
Safety concerns: (Does not impact your Camper's acceptance)*

NoneElopementSelf InjuryPhysical aggression towards others
What is your Camper's suggested support level?*

Group support(2:1)1:1 support
What is your Camper's communication style?*

Nonverbal (and does NOT use a communication device)Nonverbal (but uses a communication device)Minimal verbalMinimal verbal (and uses a communication device)VerbalVerbal (and uses a communication device)
What motivates your Camper? Name anything and everything (i.e food, Ipad, relaxing time)*
What interests does your Camper have? Anything that comes to your mind (i.e shows, movies, games, toys, bubbles, etc)*
Guardian Info

All Correspondence and invoicing will be sent to this person
Guardian Name*

First NameLast Name
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper*
Preferred way of contact*

TextPhone CallEmailAny
Emergency Contact

This person will be contacted when guardian can not be reached.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact's Relationship to Camper*
Approved list of individuals authorized for pickup. Unless we are notified in advance, anyone not listed who attempts to pick up your Camper will not be permitted to do so until we are able to contact the Camper’s parent or guardian.*
Choose Your Camp Days
Select which days you'd like your camper to participate

Monday, June 15Tuesday, June 16Wednesday, June 17Thursday, June 18Monday, June 22Tuesday, June 23Wednesday, June 24Thursday, June 25Friday, June 26Monday, June 29Tuesday, June 30Wednesday, July 1Thursday, July 2Monday, July 6Tuesday, July 7Wednesday, July 8Thursday, July 9Friday, July 10Monday, July 13Tuesday, July 14Wednesday, July 15Thursday, July 16Friday, July 17Monday, July 20Tuesday, July 21Wednesday, July 22Thursday, July 23Friday, July 24
Policies and Procedures

I confirm that I have reviewed the Riley Center Camp Policies and Procedures and understand the expectations, guidelines, and safety practices outlined within them. By signing below, I acknowledge my agreement to these policies and grant permission for staff to implement approved procedures as necessary to support the health, safety, and well being of all campers.
Signature
Professional Crisis Management

I understand that the Riley Center utilizes approved crisis prevention and intervention procedures, including Professional Crisis Management (PCM), when necessary to maintain the safety of campers, staff, or others. These interventions are only used when less restrictive strategies have been unsuccessful or when there is an immediate risk of harm.By signing below, I acknowledge that I have reviewed the program policies and understand that trained staff may implement approved safety procedures when necessary.
Signature
Should be Empty:

Riley Center Afternoon Summer Camp

Camper Information

Guardian Info

Emergency Contact

Choose Your Camp Days

Policies and Procedures

Professional Crisis Management